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  • Created Faculty Practice Plans.
  • Developed Medical Staff Practice Plans.
  • Developed PSO's.
  • Developed ambulatory surgery centers.
  • Created hospital-physician networks and joint-ventures.
  • Provided general corporate, contract, and securities work for a number of corporate clients.
  • Completed prospectuses for stock offerings ranging from $140 million to $250 million.
  • Developed managed care plans and negotiated contracts regarding the same.
  • Developed several foundations.
  • Merged healthcare facilities; merged physician practices.
  • Developed multi-specialty group practices.
  • Revised medical staff bylaws.
  • Developed numerous IPAs and MSOs.
  • Negotiated physician practice acquisitions.

  • Litigated securities fraud suit involving sale of medical products.
  • Litigated cases on tax exemption.
  • Represented a coalition of nursing homes in seeking to overturn burdensome and costly regulations.
  • Obtained $2.75 million in additional reimbursement from HCFA because of flaws in the RVS and RBRVS payment systems.
  • Obtained $1.8 million settlement in reimbursement litigation.
  • Negotiated with HCFA regarding alleged overpayments.
  • Represented in various cases either hospitals or physicians in disputes over medical staff credentialing and physician employment.
  • Pursued Provider Reimbursement Review Board (PRRB) appeals.
  • Pursued litigation against computer manufacturer for breach of warranty and fraud.
  • Represented debtors and creditors in bankruptcy proceedings.
  • Represented providers in antitrust suits.
  • Represented physicians in partnership dissolution.
  • Represented providers in qui tam suits.

  • Advised on certificate of need applications and appeals.
  • Advised on reimbursement issues and filed reimbursement appeals for healthcare facilities and physicians.
  • Advised on licensure and certification questions, including focused reviews.
  • Advised on antitrust and fraud and abuse issues.
  • Advised on IRS issues including income tax, private inurement, private benefit, public charity status.

  • Developed a manual on the MSO industry.
  • Negotiated several dozen managed care payor contracts for physician/hospital networks in Pennsylvania.
  • Currently marketing nine physician/hospital networks.
  • Billing and claims processing for a large, single-specialty IPA.

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